Provider Demographics
NPI:1477224988
Name:SPECIALTY SERVICE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SPECIALTY SERVICE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-762-2157
Mailing Address - Street 1:2471 ROAD 10.4 NE
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-8267
Mailing Address - Country:US
Mailing Address - Phone:509-762-2157
Mailing Address - Fax:509-762-3197
Practice Address - Street 1:2471 ROAD 10.4 NE
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-8267
Practice Address - Country:US
Practice Address - Phone:509-762-2157
Practice Address - Fax:509-762-3197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty